922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on observation and review of documentation, a staff member (DOH: 05/24/22) did not have evidence or results of an out-of-state background check from Ohio. The KARES employment authorization from indicated that the staff member lived in Ohio from 2021 to 2022, within the last five (5) years. The staff member would need a child abuse and neglect check and a sex offender registry check from Ohio. The staff member was not working during the renewal survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Employee Records Not In Compliance

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922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, a staff member (DOH: 09/27/21) completed only seven and a half (7.50) of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. A review of ECE-TRIS verified this information. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, staff member hired on 09/03/2021, did not have education documentation on file.

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922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, staff members hired on 01/21/2020, and 10/11/2021, did not have documentation on file from a health care professional stating they were free of active tuberculosis. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

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922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, two children enrolled in August 2021, did not have immunization records on file. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation, interview and review of documentation, the following was found: 1) There are full length mirrors on one wall in Rooms #205, #306, #210 and #102(gym). There was no documentation available for review to determine if the mirrors are shatterproof. 2) In Room #206, several long flat boards had been stored in an upright position in three corners of the room. This method of storage is a safety hazard to the children in the room. Premises In Compliance Outdoor Play Area Not Applicable Equipment In Compliance Food Service In Compliance Written Documentation In Compliance Posted Documentation In Compliance Emergency Regulation Not Applicable

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922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. A child's enrollment paperwork contained an expired immunization certificate. The immunization certificate expired on 4/25/2021. The child had been enrolled in excess of thirty days. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals In Compliance Emergency Regulation Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, there was one (1) staff person with a hire date of 1/7/13 who had the results of a T.B. test dated 1/28/15. This exceeds the two-year minimum for a T.B. test. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

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922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, two (2) staff persons, both hired 1/27/14, and did not have evidence of fifteen (15) hours of annual training on file for the last full year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, the posted daily planned program of activities was outdated. The posted plan was dated April 2015.

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922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, two (2) employee files (hire dates: 4/20/09 and 9/1/08) contained results of a negative T.B. test that were no longer current. The tests were dated 5/5/10 and 2/23/11 which exceeds the two (2) year time frame. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on Review of Documentation, two (2) staff files did not contain evidence of the six (6) hours of cabinet-approved orientation training being completed within the first three (3) months of employment. The employees were hired on 10/1/12 and 8/15/12. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

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922 KAR 2:090 · 922 KAR 2:090 - Section 5

General: Based on Observation, the surveyor found that the license was not posted. The staff person in charge stated that all of the posted items were posted on a parent board that they put away each evening. The staff person could not locate the parent board at the time of the inspection. 95 - Posting Requirements 922 KAR 2:110 - Section 2 (7) In addition to the posting requirement of KRS 199.898(3), a child-care center shall post the following in a conspicuous place and make available for public inspection: (a) Each statement of deficiency and civil monetary penalty notice issued by the cabinet during the current licensure year; (b) Each plan of correction submitted by the child-care center to the cabinet during the current licensure year; (c) A description of services provided by the child-care center, including: 1. Current rates for child care; and 2. Each service charged separately and in addition to the basic rate for child care. (d) Minimum staff-to-child ratios and group size established in 922 KAR 2:120; and (e) Daily schedule. 1) Statement of Deficiency In Compliance 3) Plan of Correction In Compliance 7) Daily Schedule In Compliance 95 - Posting Requirements 922 KAR 2:110 - Section 2 (7) In addition to the posting requirement of KRS 199.898(3), a child-care center shall post the following in a conspicuous place and make available for public inspection: (a) Each statement of deficiency and civil monetary penalty notice issued by the cabinet during the current licensure year; (b) Each plan of correction submitted by the child-care center to the cabinet during the current licensure year; (c) A description of services provided by the child-care center, including: 1. Current rates for child care; and 2. Each service charged separately and in addition to the basic rate for child care. (d) Minimum staff-to-child ratios and group size established in 922 KAR 2:120; and (e) Daily schedule. 2) Civil Penalty Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 40 of 42 Web site: http://chfs.ky.gov/ Inspection Report 95 - Posting Requirements 922 KAR 2:110 - Section 2 (7) In addition to the posting requirement of KRS 199.898(3), a child-care center shall post the following in a conspicuous place and make available for public inspection: (a) Each statement of deficiency and civil monetary penalty notice issued by the cabinet during the current licensure year; (b) Each plan of correction submitted by the child-care center to the cabinet during the current licensure year; (c) A description of services provided by the child-care center, including: 1. Current rates for child care; and 2. Each service charged separately and in addition to the basic rate for child care. (d) Minimum staff-to-child ratios and group size established in 922 KAR 2:120; and (e) Daily schedule. 4) Services Not In Compliance Findings: General: Based on Observation, the surveyor found that the description of services offered was not posted. The staff person in charge stated that all of the posted items were posted on a parent board that they put away each evening. The staff person could not locate the parent board at the time of the inspection. 5) Rates Not In Compliance Findings: General: Based on Observation, the surveyor found that the rates were not posted. The staff person in charge stated that all of the posted items were posted on a parent board that they put away each evening. The staff person could not locate the parent board at the time of the inspection. 6) Ratios/Group Size Not In Compliance Findings: General: Based on Observation, the surveyor found that the ratios and group size were not posted. The staff person in charge stated that all of the posted items were posted on a parent board that they put away each evening. The staff person could not locate the parent board at the time of the inspection. 106 - Disaster Course of Action 922 KAR 2:110 - Section 3 (11) A written plan and diagram outlining the course of action in the event of natural or manmade disaster, posted in a prominent place; 1) Posted written Plan In Compliance 2) Posted diagram In Compliance 114 - Daily Activities 922 KAR 2:110 - Section 4 (1) (h) Post a schedule of daily activities, to include lists and dates of activities to be conducted with the children in each classroom; 1) Posted In Compliance 2) List of Activities In Compliance 3) Dates of Activities In Compliance Posted Documentation - Classroom 114 - Daily Activities 922 KAR 2:110 - Section 4 (1) (h) Post a schedule of daily activities, to include lists and dates of activities to be conducted with the children in each classroom; 1) Posted In Compliance 2) List of Activities In Compliance 3) Dates of Activities In Compliance 286 - Diapering/hand washing Not Applicable 922 KAR 2:120 - Section 10 (9) The proper methods of diapering and hand-washing shall be posted at each diaper changing area. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 41 of 42 Web site: http://chfs.ky.gov/ Inspection Report 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, six (6) staff that were eligible for an annual professional development plan did not have a current plan on file. The professional development plans on file were dated 2011. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

Open Not marked corrected in the state record

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922 KAR 2:110 · 922 KAR 2:110 - Section 5 Staff Requirements.

General: Based on Review of Documentation, there were three (3) staff who did not have evidence on file that they met the education requirement. Two (2) were hired on 8/15/12 and one (1) was hired on 10/1/12.

Open Not marked corrected in the state record

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922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, the surveyor found that a child with an enrollment date of 8/12/12 had documentation on file of a shot record from the state of Indiana but the documentation did not have a date to verify if the child's immunizations were current.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090 - Section 10

Based on record review and interview the facility failed to report an incident which involved medical treatment to the cabinet within twenty-four (24) hours. A facility incident report was received in the DRCC office via fax on 10/10/11 which stated, "On 9/27/11 at 5:20pm a ten (10) year old child was sitting on the gym stage when she fell off and landed on her left arm." Staff interview during the investigation revealed that the child broke her arm as a result of the fall. The staff person stated that the incident was not reported to the DRCC office within the required timeframe because they had to wait several days on paperwork that was being filled out by the child's parents. Director Requirements

Open Not marked corrected in the state record

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